Active NPIOrganization

Advanced Dental Of Wallingford LLC

Clinic/Center, Dental in Wallingford, Connecticut

NPI Number1942808084
Practice location
44 Fair St, Wallingford, CT 06492-4214
Fax
—
Last updated
October 12, 2020

Advanced Dental Of Wallingford LLC is a healthcare organization based in Wallingford, CT. Advanced Dental Of Wallingford LLC practices in Wallingford, CT. The NPI Number for Advanced Dental Of Wallingford LLC is 1942808084. The current practice location address for Advanced Dental Of Wallingford LLC is 44 Fair St, Wallingford, CT 06492-4214 and can be reached out via phone at 713-591-5434.

Provider Profile Details

NPI Number
1942808084
Provider Name
Advanced Dental Of Wallingford LLC
Provider Entity Type
Organization
Address
44 Fair St, Wallingford, CT 06492-4214
Phone Number
713-591-5434
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Ryan Ku · Owner · 713-591-5434
Provider Enumeration Date
October 12, 2020
Last Update Date
October 12, 2020
Certification Date
October 12, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
44 Fair St
Wallingford, CT 06492-4214
Zip
06492-4214
Phone Number
713-591-5434
Wallingford, CT 06492Get directions →

Provider Business Mailing Address Details

Address
910 Boston Post RD Ofc
West Haven, CT 06516-1845
City
West Haven
State
CT
Zip
06516-1845
Phone Number
713-591-5434

License Information

Taxonomy
Clinic/Center, Dental · 261QD0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Advanced Dental Of Wallingford LLC?

The NPI number of Advanced Dental Of Wallingford LLC is 1942808084. It was assigned on October 12, 2020 and is currently active in the NPPES registry.

What is the specialty of Advanced Dental Of Wallingford LLC?

Advanced Dental Of Wallingford LLC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).

Where does Advanced Dental Of Wallingford LLC practice?

The practice location is 44 Fair St, Wallingford, CT 06492-4214. The office can be reached at 713-591-5434 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942808084 directly on the NPPES registry website.

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